HomeMy WebLinkAboutPermit M11-087 - AIRFIELD BUSINESS CENTERThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
M1 1-087
Airfield Business Center
9100 East Marginal Way South
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
10
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
AIRFLELD
BUSINESS CENTER
9100 EAST
MARGINAL WY S
M11-087
Parcel No.:
Address:
City oftukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.TukwilaWA.gov
MECHANICAL PERMIT
5422600150
9100 EAST MARGINAL WY S TUKW
Project Name: AIRFIELD BUSINESS CENTER
Permit Number: M11 -087
Issue Date: 06/28/2011
Permit Expires On: 12/25/2011
Owner:
Name: WOOD MEADOWS LLC
Address: PO BOX 654 , IQRKLAND WA 98083
Contact Person:
Name:
Address:
Email:
DARREN NEUBAUER
PO BOX 1108 , WOODINVILLE WA 98072
dneubauer@gaslinemechanical.com
Contractor:
Name: GASLINE MECHANICAL INC
Address: PO BOX 1108 , WOODINVILLE WA 98072 -1108
Contractor License No: GASLIMI066CD
44:6400
Phone: 206 786 -3000
Phone: 425 487 -2359
Expiration Date: 05/10/2013
ON
DESCRIPTION OF WORK:
t2 fx t -\- frwlc, Ati ocI 4 -
Value of Mechanical: $765.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
�xamn
with,
The granting of this permit does not pr
construction or the performance of work.
back of this permit.
Signature:
Fees Collected: $176.56
International Mechanical Code Edition: 2009
Date:
Led this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
ume to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this mechanical permit and agree to the conditions on the
Date: 64- ea/ /i
Print Name: A'. Er/ .L7_ �✓ c.�r3.�Ui��
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: IMC -4/10
M11-087 Printed: 06 -28 -2011
• 1
PERMIT CONDITIONS
Permit No. M11 -087
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
6: Equipm`�ent:an"cl!appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
AGARA G-0repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
th ource of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: IMC -4110
M11 -087 Printed: 06 -28 -2011
CITY OF TUKWA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.Q0V
•
Mechanical Permit No.
MO1
Project No.
(For office use only)
MECHANICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
"please print**
SITE LOCATION
King Co Assessor's Tax No.: eg .55/,,7014,6 — b i
Site Address: q 1 0 0 'EA 67 AA p zgrr tirr4c_ 1.1 Qv S . Suite Number: 913' -( Floor:
Tenant Name: -r .a fAterr_sy2s11, CLe!✓--zS.k'
Property Owners Name: (4 (Jai) AA r- p LL C
Mailing Address: `16
New Tenant: ❑ Yes
0-115.
k(2KN,p
City
WA
State
ct86E0
Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: ,D lEtt v$gtfR
Mailing Address:
. s4
Day Telephone: X06 -7 $ A- 36 00
i/
City State Zip
E -Mail Address: Fax Number: 442s-4,9g— '9r5/ z
MECHANICAL CONTRACTOR INFORMATION
Company Name: GfidlitilC
Mailing Address: f 0 Oc1 x 11 08 j Ake7I2Z-iv / 1114 • 41 11 %rte - /J68
City State Zip
Contact Person: PARR'X.A., 'a,,77R -a i
E -Mail Address: DN irtfnDuirP (,-6/2-1iWM Con") Fax Number: 4G/..__c —4'a 6 "sib / 6
Contractor Registration Number: 6.09;4044.Z. O 6 G CJJ
Day Telephone: e9.6‘— 7,16— tc
Expiration Date: Z J l G /13
ARCHITECT OF RECORD — All plans must be stamped by architect of record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by engineer of record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H:1ApplicafionsU'oms- Applications On tinee2010 Applications \7-2010 - Mechanical Permit Apphi®tion.doc
Revised: 7 -2010
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Page 1 of 2
•r�
•
Valuation of project (contractor's bid price): $ 76.6 aQ
Scope of work (please provide detailed information): TS 1:-Py 4.-t_ (Q2) 8 0 G ,A 8A -f+?cxr A
iCstr -EAUS ► l=F t.:5 4 /7.> .Ddc7- /oJi?X
Use: Residential: New
Commercial: New
Fuel Type: Electric
0
Replacement
Replacement
1E1-- Gas ❑
0
0
Other:
Indicate type of mechanical work being installed and the quant'ty below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Bioler /Compressor
Qty
furnace <100k btu
air handling unit
>10,000 cfm
fire damper
0 -3 hp /100,000 btu
furnace >100k btu
evaporator cooler
diffuser
3 -15 hp /500,000 btu
floor furnace
ventilation fan connected
to single duct
A
thermostat
15 -30 hp /1,000,000
btu
suspended/wall/floor
mounted heater
ventilation system
wood/gas stove
30-50 hp /1,750,000
btu
appliance vent
hood and duct
emergency
generator
50 +hp /1,750,000 btu
repair or addition to
heat/refrig/cooling system
Incinerator - domestic
other meical
equipmenchant
air handling unit <10,000
cfm
incinerator - comm/md
PERMIT APPLICATION NOTES -
Value of construction — in all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the permit center to comply with current fee schedules.
Expiration of plan review — applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The building official may grant one extension of time for additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 international building code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING ,y' NER OR AAUTH� GENT:
Signature- -4010�
Print Name: Dis9?2ie-A ( f) J / & ,$ /0,-Lrx. 1 '
Mailing Address: lid Oes Y 1 6 g (r4 G ??er; AD VXL1-3
city
Date: A /°'2e //
Day Telephone:, - 7 R - 0 V i1
U✓q 9 86--)3 -1)68
State Zip
Date Application Accepted:
1t
It
Date Application Expires:
Staff Initials:
HAApplicntionsWo Appli lions On Line\2010 Appti®riom7-2010 - Mechanical permit Applieetien.doc
Revised: 7 -2010
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Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
Parcel No.: 5422600150 Permit Number: M11 -087
Address: 9100 EAST MARGINAL WY S TUICW Status: PENDING
Suite No: Applied Date: 06/28/2011
Applicant: AIRFIELD BUSINESS CENTER Issue Date:
Receipt No.: R11 -01325
Initials: JEM
User ID: 1165
Payment Amount: $141.25
Payment Date: 06/28/2011 12:06 PM
Balance: $0.00
Payee: JOHN R ANDERSON, GASLINE MECHANICAL INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 067377
ACCOUNT ITEM LIST:
Description
141.25
Account Code Current Pmts
MECHANICAL - NONRES
000.322.102.00.00 141.25
Total: $141.25
doc: Receiot -06 Printed: 06 -28 -2011
INSPECTION NO.
INSPECTION;RECORD
Retain a copy with permit
PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
14;ic,(Ack
Type of Inspection:
c% tOAL
,
Address: e
c1100 E._ 44111/(.1%,JAL
Date Called:
-----1
Special Instructions:
.._
Date Wanted:
i— 1 li — 1 I
Requester:
k, ..
Phone No:
‘.......
.4[54Approved per applicable codes. El Corrections required prior to approval.
COMMENTS: OD Q diellA ... ‘ „1/4.,
CP.07 d INCtA eizaw,b IA,
,
k, ..
x '
‘.......
Date: , I tr.. 9
fc SPECTION FEE REIVIRED. Pr r to next inspection. fee must be
d at 6300 Southcenter Blvd.. Sui e 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
X11 -089
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila. WA 98188 k . (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Pro'e t: ,6 A
tr
of Inspection:
Ty of
j
A ress:
cl (63 E ,An d` vbt—,-
Date Called:
•
Special Instructions:
Date Wanted:
(fi
a.m
1 j c .
(.�� `' p.m.
Requester:
Phone N II
X 2 1 ff.--IM
�pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
...J -�1
r
X11 ts. ✓�c,�n
r
Inspec
A A
EINSPECTION FEE RE F UIRED. Prior
pai( at 6300 Southcenter lvd.. Suite
Date:
�o next inspection. fee m st
0. Call to schedule-reinspection: .
Contractors or Tradespeople Printer Friendly Page Page 1 of 2
General /Specialty Contractor
A business registered as a construction contractor with LW to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name GASLINE MECHANICAL INC UBI No. 601510390
Phone 4254872359 Status Active
Address P 0 Box 1108 License No. GASLIMI066CD
Suite /Apt. License Type Construction Contractor
City Woodinville Effective Date 2/4/1994
State WA Expiration Date 5/10/2013
Zip 980721108 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
GASLIMI001C8GASLINE
MECHANICAL INC
Electrical
Contractor
Hvac/Rfrg Ltd
Energy
Unused
2/28/2000
3/26/2012
Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ANDERSON, JOHN ROBERT
President
02/04/1994
Received Date
OSBORNE, MICHAEL E
Secretary
02/04/1994
05/06/2002
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
3
3/19/1996
6/17/2009
Bond
CCP583803
$4,000.00
10/31/2001
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
15
Liberty
Northwest Ins
Corp
BK554674191
02/01/2011
02/01/2012
$1,000,000.00
02/02/2011
14
CENTURY
SURETY CO
CPP629104
02/01/2011
02/01/2012
$1,000,000.00
12/22/2010
13
CENTURY
SURETY CO
CCP583803
02/01/2009
02/01/2011
$1,000,000.00
02/01/2010
12
FIRST MERCURY
INS CO
FMMA000328 -3
02/01/2007
02/01/2009
$1,000,000.00
02/06/2008
11
FIRST MERCURY
INS CO
FMMA000328
02/01/2006
02/01/2007
$1,000,000.00
02/10/2006
10
NORTHERN
INSURANCE
COMPANY OF
42973934
02/01/2005
02/01/2006
$1,000,000.0002
/17/2005
Summons /Complaint Information
https: / /fortress.wa.gov /lni/bbip/ rint.aspx
•
06/28/2011